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1811352941
THOMAS PETER MAZZARELLA
DURHAM, NC
NPI
1811352941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC LCAS-20547)
Enumeration Date
2015-12-16
Last Update Date
2015-12-16
Business Address
-- THOMAS PETER MAZZARELLA LCAS
8 CALLE LUNA CT
DURHAM, NC 27707-6048
Phone number: 757-617-0277
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Mailing Address
-- THOMAS PETER MAZZARELLA LCAS
8 CALLE LUNA CT
DURHAM, NC 27707-6048
Phone number: 757-617-0277
Copy
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